Mindfulness-Based Intervention for Nursing Students in Somalia (SOM-MIND)

January 17, 2026 updated by: Fadime Koyuncu, Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Effects of a Mindfulness-Based Intervention on Stress, Psychological Resilience, and Academic Self-Efficacy Among Nursing Students in Somalia: A Randomized Controlled Trial

This study aims to evaluate the effectiveness of a mindfulness-based intervention on stress levels, psychological resilience, and academic self-efficacy among nursing students in Somalia. Nursing students often experience high levels of stress due to academic demands, clinical training, and challenging social and environmental conditions. Mindfulness-based interventions have been shown to improve mental well-being and coping skills in various student populations, but evidence from low-resource and conflict-affected settings remains limited.

In this randomized controlled trial, nursing students will be assigned either to a mindfulness-based intervention group or to a control group receiving no intervention during the study period. The intervention consists of structured mindfulness sessions focusing on breathing awareness, body awareness, emotional regulation, and present-moment attention over a three-week period.

Outcomes including perceived stress, psychological resilience, and academic self-efficacy will be measured before and after the intervention using validated self-report instruments. The findings of this study are expected to contribute to the understanding of non-pharmacological, low-cost mental health interventions for nursing students in low-resource settings.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial was designed to investigate the effects of a mindfulness-based intervention on stress, psychological resilience, and academic self-efficacy among nursing students in Somalia. Nursing students represent a population at increased risk for psychological distress due to intensive academic workloads, exposure to clinical environments, and limited mental health support resources, particularly in low-income and post-conflict settings.

The study was conducted among nursing students enrolled at a university-affiliated training institution in Mogadishu, Somalia. Eligible participants were nursing students who voluntarily agreed to participate and provided informed consent. Participants were randomly assigned to either an intervention group or a control group. The intervention group received a structured mindfulness-based program delivered over three weeks, while the control group continued with their routine academic activities without any additional intervention during the study period.

The mindfulness-based intervention included guided practices such as mindful breathing, body scan exercises, awareness of thoughts and emotions, and techniques aimed at enhancing present-moment awareness and emotional regulation. Sessions were conducted in a group format and adapted to the cultural and educational context of the participants.

Primary outcome measures included perceived stress, psychological resilience, and academic self-efficacy. These outcomes were assessed using validated questionnaires administered at baseline and after completion of the intervention. Data were analyzed to compare changes in outcome measures between the intervention and control groups.

This study seeks to provide evidence on the feasibility and effectiveness of mindfulness-based interventions as a low-cost, non-pharmacological strategy to support mental well-being and academic functioning among nursing students in resource-limited settings.

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Being a nursing student enrolled in the 3rd or 4th year
  • Aged 18 years or older
  • Volunteering to participate in the study
  • Ability to attend online sessions
  • Ability to complete self-report questionnaires

Exclusion Criteria:

  • Having a diagnosed psychiatric disorder
  • Currently receiving psychological or psychiatric treatment
  • Participation in another mindfulness or stress management program during the study period
  • Inability to complete the study procedures

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Mindfulness-Based Intervention Group
Participants receive a three-week mindfulness-based intervention delivered through weekly online sessions.
Behavioral: Mindfulness-Based Awareness Program
The intervention consists of a three-week mindfulness-based program delivered through weekly online sessions lasting 45-60 minutes. The program includes theoretical information and guided practices focusing on mindfulness awareness, breathing awareness, and emotional awareness. Audio-recorded mindfulness exercises prepared by the researcher are shared weekly with participants via a messaging application. Participants are encouraged to practice the exercises individually in a quiet environment during the intervention period.
No Intervention: Control group
Participants receive no intervention during the study period and complete baseline and post-intervention assessments only.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Perceived Stress Level
Time Frame: Baseline and 3 weeks
Perceived stress will be assessed using the Perceived Stress Scale (PSS). The scale consists of two sub-dimensions: perceived inadequate self-efficacy and perceived stress, each originally comprising seven items. Items are rated on a 5-point Likert-type scale ranging from 0 ("Never") to 5 ("Very often"), with higher scores indicating higher perceived stress levels. Several items are reverse-coded.
Baseline and 3 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Psychological Resilience
Time Frame: Baseline and 3 weeks
Psychological resilience will be measured using the Connor-Davidson Resilience Scale - Short Form (CD-RISC-10). The scale includes 10 items rated on a 5-point Likert scale (0 = "Not true at all" to 4 = "True nearly all the time"). Higher scores reflect greater psychological resilience. The Turkish adaptation has been shown to be valid and reliable.
Baseline and 3 weeks
Change in Academic Self-Efficacy
Time Frame: Baseline and 3 weeks

Academic self-efficacy will be assessed using the Academic Self-Efficacy Scale. The scale has a single-factor structure and consists of 7 items rated on a 4-point Likert-type scale, ranging from 1 ("Completely applies to me") to 4 ("Does not apply to me at all"). Total scores range from 7 to 28, with higher scores indicating higher levels of academic self-efficacy.

The original version of the scale developed by Jerusalem and Schwarzer demonstrated good internal consistency (Cronbach's alpha = 0.87). The Turkish adaptation by Yılmaz, Gürçay, and Ekici also showed acceptable internal consistency reliability (Cronbach's alpha = 0.79).
Baseline and 3 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

January 19, 2026

Primary Completion (Estimated)

February 9, 2026

Study Completion (Estimated)

February 28, 2026

Study Registration Dates

First Submitted

January 11, 2026

First Submitted That Met QC Criteria

January 11, 2026

First Posted (Actual)

January 20, 2026

Study Record Updates

Last Update Posted (Actual)

January 21, 2026

Last Update Submitted That Met QC Criteria

January 17, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SOM-MF-2026

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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